Divine Nurturing Homecare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

DIVINE NURTURING HOMECARE SERVICES, INC.

Practice address

14697 80TH PL N Ste ML
Maple Grove, MN 55311-2154

Phone

(763) 390-2590

NPI assigned

Oct 24, 2010

Last updated

Mar 17, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anthony Adanene

Title

Authorized Official

Phone

(763) 390-2590

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710633600000",
    "number": "1063712164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14697 80TH PL. N. SUITE #ML",
            "address_2": "P O BOX 1681",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553116681",
            "telephone_number": "763-390-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14697 80TH PL N STE ML",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112154",
            "telephone_number": "763-390-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE NURTURING HOMECARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-24",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "ADANENE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "763-390-2590"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.